<h1><img src="./templates/images/icones/Contact-Email.png" />&nbsp;Nous contacter</h1>
<div class='grid_6 prefix_3 suffix_3'>

<form id="start" action="./contact.php" method="post" >
	<h2>Merci de renseigner tous les champs du formulaire</h2>
	<p>
		<label for="lastname">Nom</label>
		<input name="lastname" type="text" value="" />
	</p>
	<p>
		<label for="firstname">Pr&eacute;nom</label>
		<input name="firstname" type="text" value="" />
	</p>
		<p>
		<label for="mail">Mail</label>
		<input name="mail" type="text" value="" />
	</p>
	<p>
		<label for="message">Message</label>
		<textarea name="message" cols="35" rows="7"></textarea>
	</p>
	<p>
		<input type="hidden" name="mode" value="sendmail" />
		<input type="submit" value="Envoyer" /> <input type="reset" value="Annuler" />
	</p>
	<div id="finish">
		<p>
			Inscription termin&eacute;e!
		</p>
	</div>
</form>
</div>